NPI | 1487204160 |
---|---|
Former Name | SHAUNA MCKAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2305126) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-09-16 |
Last Update Date | 2023-08-01 |